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Equal Opportunity, Harassment and Discrimination Reporting Form


This form is intended to help the university respond to reports of harassment, discrimination or sexual misconduct, as well as assess the danger the incident represents to the community at large. All efforts are made to maintain the complainant's confidentiality. Reports are directed to the Title IX Coordinator.

Please note that submissions using this form may not be reviewed outside of normal business hours. IF THIS IS AN EMERGENCY OR IMMEDIATE HELP IS NEEDED CALL CAMPUS SAFETY & SECURITY at 815-740-3200.

Background Information

 
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IF THIS IS AN EMERGENCY OR IMMEDIATE HELP IS NEEDED CALL CAMPUS SAFETY & SECURITY at 815-740-3200.
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Involved Parties/Witnesses

Please add the name(s) of Involved parties which may include: students & employees, as well as clubs, groups, organizations or teams. You can use this form to identify non-USF individuals as well. Complete as much information as possible, leave blank for unknown information.

Involved party 1

Questions

Please complete as much information as you feel comfortable giving. Please know that the more details you give us to work with, the better we may be able to assist.

Are you reporting this incident for yourself or for another person?(Required)
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Please indicate which (if any) other offices/resources have been notified below. More information about these resources are available at the completion of this form.
You must make at least one selection.
Please be aware that victims may indicate if they wish to pursue charges or to simply report information for University awareness and protection.
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Supporting Documentation

Photos, video, email, and other supporting documents may be attached below. Maximum 12 megabytes per file Attachments require time to upload, so please be patient after you click to submit this report. 5GB maximum total size.
Attachments require time to upload, so please be patient after submitting this form.

Submission